The Smith School Application

Please fill out our application to be considered for a placement at The Smith School. Once the school has received these materials, we will contact you to schedule an interview. Our counseling staff reviews all documentation prior to student interview and visit. Prospective students are invited to a full school day visit.

If you have any questions regarding the application process, please contact our main office at 212.879.6354

Name

First Name

Last Name

Phone

(###)

###

####

Address

How did you hear about us?

Student Name

First Name

Last Name

Grade Entering

School Year Applying For (we have rolling admissions!)

Parent Email

Parent Email (2)

Student Date of Birth

YYYY

Student Gender

Current School

Dates of Attendance

Academic History:

School # 1: Dates of Attendance School #2: Dates of Attendance, etc.

Family History:

Parent/Guardian Name / email / occupation / employer

Family History (2):

Parent/Guardian Name / email / occupation / employer

Other Family Information:

Applicant Siblings: Name, Age, School, Grade

Are the applicants parents separated or divorced?

If so, with whom does the applicant reside?

Why is your son/daughter leaving his or her current school?

In your opinion, what are your son's/daughter's greatest strengths?

What has given your son/daughter the most difficulty in school?

What do you hope your son/daughter will achieve at The Smith School?

Please identify any emotional, academic, or health issues experienced by your son/daughter within the last five years. How was your son/daughter and his/her family impacted? What steps were taken to address the issue(s)?

Please describe any issues regarding your son/daughter's behavior or peer interaction. How can The Smith School help in this area?

Is there anything else you think we should know about your son/daughter?

Date of Application

YYYY

Application Processing Fee

$50.00

Payments may be made online or by check made payable to The Smith School.

Quantity:

The Smith School Application

Location

Hours

Contact

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